| NPI | 1417629395 |
|---|---|
| Doing Business As | GOSHEN MEDICAL CENTER - CLINTON MOBILE UNIT |
| Entity Type | Organization |
| Authorized Contact | GREGORY M BOUNDS CEO 910-267-1237 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Additional Taxonomies | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2021-09-29 |
| Last Update Date | 2021-11-02 |